Mary-Ann Sontag, PH.D. LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

972 Issued in MT

Practice address

2201 N Bryson Rd
Boise, ID 83713-5038

Phone

(406) 369-5293

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sontag Counseling PLLC

  • Clinical Social Worker
  • Boise, ID
  • NPI 1871317040
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1831509280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N BRYSON RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135038",
            "telephone_number": "406-369-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N BRYSON RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135038",
            "telephone_number": "406-369-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONTAG",
        "first_name": "MARY-ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D. LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Thomas Sonnenberg, PH.D.
• John R Sonntag, M.D.
• Paul David Sonntag, MD
• Sonshine Family Health Clinic, LLC
• Sontag Counseling PLLC
• Albert Sorensen
• Christopher C Sorensen, DO
• Dean Sorensen, M.D.
• Michelle Renee Sorensen, MASTER OF COUNSELING
• Renn Sorensen

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.